HomeMy WebLinkAboutOpening of Quotes - PW Service Center Salt Dome Proj No 126-021 - Dudeck Roofing and Sheet Metal
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CITY OF SOUTH BEND, INDIANA
CONTRACTOR’S QUOTE FOR PUBLIC WORK
PROJECT NAME: PW Service Center Salt Dome Roof Replacement
PROJECT NO. R126-021
QUOTES DUE 9am EDT – June 9th, 2026 to bpwbids@southbendin.gov
(Must be completed for all quotes. Please type or print)
Date: Firm:
Address:
City/State/Zip: Telephone Number: ( )
Email Address:
Agent of Bidder (if Applicable):
Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the
public works project of:
Public Works Service Center Salt Dome Roof Replacement
the City of South Bend, Indiana, in accordance with plans and specifications prepared by:
The City of South Bend, Department of Public Works
and dated May 12th, 2026 for the sum of (enter the Total Quote as shown on the Proposal)
($ )
(Enter Sum of Total Quote plus Alternates shown on Proposal) (Numerical)
If alternative quotes apply, the undersigned submits a proposal for each in accordance with the notice. Any
addendums attached will be specifically referenced at the applicable page.
If additional units of material included in the contract are needed, the cost of units must be the same as that shown
in the original contract if accepted by the City of South Bend. If the quote is to be awarded on a unit basis, the
itemization of the units shall be shown on a separate attachment.
ACCEPTANCE
The above quote is accepted this day of 20
Subject to the following conditions:
BOARD OF PUBLIC WORKS
President
Members
By
(Signature)
(Printed Name of Person Signing)
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QUOTE/PROPOSAL
CITY OF SOUTH BEND
PROJECT NAME PW Service Center Salt Dome Roof Replacement
PROJECT NO. R126-021
QUOTES DUE 9am EDT June 9th, 2026 to bpwbids@southbendin.gov
Item
No. Description Quantity Unit Unit Price Total Amount
1
Salt Dome Roofing Removal and
Replacement as stated in the
specifications
1 LS $ $
2 Replacement of deteriorated roof 330 Sheet $ $
Total Amount of Quote $
Firm:
Address:
City/State/Zip: Telephone Number: ( )
Fax Number: ( )
By
(Signature)
(Printed Name of Person Signing)
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QUOTE/PROPOSAL
CITY OF SOUTH BEND
PROJECT NAME PW Service Center Salt Dome Roof Replacement
PROJECT NO. R126-021
QUOTES DUE 9am EDT – June 9th, 2026 to bpwbids@southbendin.gov
Item
No. Description Quantity Unit Unit Price Total Amount
1 Salt Dome Roof Replacement
including all trades. 1 LS $
Total Amount of Quote $
Firm:
Address:
City/State/Zip: Telephone Number: ( )
Fax Number: ( )
By
(Signature)
(Printed Name of Person Signing)
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When the prospective Contractor is unable to certify to any of the statements below, it shall attach an explanation to
this Affidavit.
CONTRACTOR’S NON-COLLUSION AND NON-DEBARMENT AFFIDAVIT,
CERTIFICATION REGARDING INVESTMENT WITH IRAN, EMPLOYMENT ELIGIBILITY
VERIFICATION, NON-DISCRIMINATION COMMITMENT AND CERTIFICATION OF USE
OF UNITED STATES STEEL PRODUCTS OR FOUNDRY PRODUCTS
(Must be completed for all quotes and bids. Please type or print)
STATE OF ___________ )
) SS:
COUNTY )
The undersigned Contractor, being duly sworn upon his/her/its oath, affirms under the penalties of perjury that:
1. Contractor has not, nor has any other member, representative, or agent of the firm,
company, corporation or partnership represented by him, entered into any combination, collusion
or agreement with any person relative to the price to be bid by anyone at such letting nor to prevent
any person from bidding nor to induce anyone to refrain from bidding, and that this bid is made
without reference to any other bid and without any agreement, understanding or combination with
any other person in reference to such bidding. Contractor further says that no person or persons,
firms, or corporation has, have or will receive directly or indirectly, any rebate, fee, gift,
commission or thing of value on account of such sale; and
2. Contractor certifies by submission of this proposal that neither contractor nor any of its
principals are presently debarred, suspended, proposed for debarment, declared ineligible, or
voluntarily excluded from participation in this transaction by any Federal department or agency;
and
3. Contractor has not, nor has any successor to, nor an affiliate of, Contractor, engaged in investment
activities in Iran.
a. For purposes of this Certification, “Iran” means the government of Iran and any agency or
instrumentality of Iran, or as otherwise defined at Ind. Code § 5-22-16.5-5, as amended from
time-to-time.
b. As provided by Ind. Code § 5-22-16.5-8, as amended from time-to-time, a Contractor is
engaged in investment activities in Iran if either:
i. Contractor, its successor or its affiliate, provides goods or services of twenty million
dollars ($20,000,000) or more in value in the energy sector of Iran; or
ii. Contractor, its successor or its affiliate, is a financial institution that extends twenty
million dollars ($20,000,000) or more in credit to another person for forty-five (45)
days or more, if that person will (i) use the credit to provides goods and services in
the energy sector in Iran; and (ii) at the time the financial institution extends credit, is
a person identified on list published by the Indiana Department of Administration.
4. Contractor does not knowingly employ or contract with an unauthorized alien, nor retain
any employee or contract with a person that the Contractor subsequently learns is an unauthorized
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alien. Contractor agrees that he/she/it shall enroll in and verify the work eligibility status of all of
Contractor’s newly hired employees through the E-Verify Program as defined by I.C. 22-5-1.7-3.
Contractor’s documentation of enrollment and participation in the E-Verify Program is included
and attached as part of this bid/quote; and
5. Contractor shall require his/her/its subcontractors performing work under this public
contract to certify that the subcontractors do not knowingly employ or contract with an
unauthorized alien, nor retain any employee or contract with a person that the subcontractor
subsequently learns is an unauthorized alien, and that the subcontractor has enrolled in and is
participating in the E-Verify Program. The Contractor agrees to maintain this certification
throughout the term of the contract with the City of South Bend, and understands that the City
may terminate the contract for default if the Contractor fails to cure a breach of this provision no
later than thirty (30) days after being notified by the City.
6. Persons, firms, partnerships, corporations, associations, or joint venturers awarded a
contract by the City of South Bend through its agencies, boards, or commissions shall not
discriminate against any employee or applicant for employment in the performance of a City
contract with respect to hire, tenure, terms, conditions, or privileges of contract or employment,
or any matter directly or indirectly related to contracting or employment because of race, sex,
religion, color, national origin, ancestry, gender expression, gender identity, sexual orientation, or
due to age or disability that does not affect that person's ability to perform the work.
In awarding contracts for the purchase of work, labor, services, supplies, equipment, materials, or
any combination of the foregoing including, but not limited to, public works contracts awarded
under public bidding laws or other contracts in which public bids are not required by law, the City,
its agencies, boards, or commissions will consider the Contractor’s good faith efforts to obtain
participation by those subcontractors certified by the State of Indiana as a Minority Business
(“MBE”) or as a Women’s Business Enterprise (“WBE”) as a factor in determining the lowest,
responsible, responsive bidder.
Contractors seeking the award of a City contract cannot be required to award a subcontract to an
MWBE; however, they may not unlawfully discriminate against said MBE/WBE. On goal-eligible
contracts, Contractors are required to either meet both MBE and WBE utilization goals or
demonstrate that the Contractor has made good faith efforts to obtain participation from MBE and
WBE subcontractors. A finding of noncompliance or a discriminatory practice shall prohibit that
Contractor from being awarded a City contract for a period of one (1) year from the date of such
determination, and such determination may also be grounds for terminating the contact to which
the discriminatory practice or noncompliance pertains.
7. The undersigned Contractor agrees that the following nondiscrimination commitment shall
be made a part of any contract which it may henceforth enter into with the City of South Bend,
Indiana or any of its agencies, boards or commissions.
Contractor agrees not to discriminate against or intimidate any employee or applicant for
employment in the performance of this contract with privileges of employment, or any matter
directly or indirectly related to employment, because of race, religion, color, sex, gender
expression, gender identity, sexual orientation, handicap, national origin or ancestry. Breach of
this provision may be regarded as material breach of contract.
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I, the undersigned bidder or agent as contractor on a public works project, understand my statutory
obligations to the use of steel products or foundry products made in the United States (I.C. 5-16-
8-1). I hereby certify that I and all subcontractors employed by me for this project will use steel
products or foundry products made in the United States on this project if awarded. I understand I
have an affirmative duty to notify the City in my bid that my proposal does not include the use of
steel products or foundry products made in the United States. I understand it is my sole obligation
and responsibility to provide a justification to the City, subject to review and approval, why the
cost of United States made steel or foundry products is unreasonable. Prior to award and upon
submission of bid which does not use steel products or foundry products made in the United States,
the City, through its director of public works, shall make a determination if the price of United
States made steel or foundry is unreasonable. I understand that violations hereunder may result in
forfeiture of contractual payments.
***
I hereby affirm under the penalties of perjury that the facts and information contained in the foregoing bid for public
works are true and correct.
Dated this day of , 20__
Contractor/Bidder (Firm)
Signature of Contractor/Bidder or Its Agent
Printed Name and Title
Subscribed and sworn to before me this day of , 20
My Commission Expires
Notary Public
County of Residence
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CITY OF SOUTH BEND
EQUAL EMPLOYMENT OPPORTUNITY CONTRACTING
PROVISIONS DIVERSITY UTILIZATION
It is the policy of the City of South Bend to provide equal employment and business opportunity for
all persons, partnerships, companies, and corporations in accordance with the rules, regulations and
guidelines of the applicable federal, state and local laws. This policy of equal employment and business
opportunity shall apply to every contractor or subcontractor bidding or holding a public contract with the City
of South Bend.
In furtherance of this policy, the following Equal Opportunity Clauses are hereby made a part of every
construction contract entered into by the City of South Bend and all subcontractors entered into pursuant
to any such contract and the bidder hereby certifies that it/he/she will abide by these provisions.
The contractor will not discriminate against any applicant or employee because of race,
color, religion, sex, national origin, or handicap. The contractor will take affirmative action
to ensure that all applicants or employees are treated fairly and equitably. Such action
shall include but not be limited to the following: hiring, up-grading, demotion or transfer,
recruitment, advertising, lay-offs or termination, rates of pay or other forms of compensation
and selection for training including apprenticeship programs.
The contractor shall agree to post in conspicuous places available to employees and
applicants, notices to be provided setting forth the provisions of the Non-Discrimination Clause.
The contractor will, in all solicitations or advertisements for employees placed by or on behalf
of the contractor, state that all qualified applicants will receive consideration for employment
without regard to race, color, religion, sex, or national origin.
The contractor will send to each labor union or representative of workers with which
it/he/she has a bargaining agreement or other contract or understanding, a notice to be
provided, advising the labor union or worker's representatives of the contractor's
commitment under this section, and shall post copies of the notices in conspicuous places
available to applicants and employees.
The contractor will comply with all provisions of Executive Order 11246 (as amended by
11375) and of the rules, regulations and relevant orders of the Department of Labor.
Subpart B -- Contractors' Agreements
Sec. 202. Except in contracts exempted in accordance with Section 204 of this Order, all Government
contracting agencies shall include in every Government contract hereinafter entered into the following
provisions:
"During the performance of this contract, the contractor agrees as follows:"
"(1) The contractor will not discriminate against any employee or applicant for employment
because of race, color, religion, sex, or national origin. The contractor will take affirmative
action to ensure that applicants are employed, and that employees are treated equally
during employment, without regard to their race, color, religion, sex or national origin. Such
action will include, but not be limited to the following: employment, upgrading, demotion, or
transfer; recruitment or recruitment advertising; layoff or termination; rates of pay or other
forms of compensation; and selection for training, including apprenticeship. The contractor
agrees to post in conspicuous places, available to employees and applicants for
employment, notices to be provided by the contracting officer setting forth the provisions of this
nondiscrimination clause."
"(2) The contractor will, in all solicitations or advertisements for employees placed by or on
behalf of the contractor, state that all qualified applicants will receive consideration for
employment without regard to race, color, religion, sex or national origin."
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"(3) The contractor will send to each labor union or representative of workers with which
i t /he/she has a collective bargaining agreement or other contract of understanding, a notice,
to be provided by the agency contracting officer, advising the labor union or workers'
representative of the contractor's commitments under Section 202 of Executive Order No.
11246 of September 24, 1965, and shall post copies of the notice in conspicuous places
available to employees and applicants for employment."
"(4) The contractor will comply with all provisions of Executive Order No. 11246 of September
24, 1965, and of the rules and regulations, and relevant orders of the Secretary of Labor."
"(5) The contractor will furnish all information and reports required by Executive Order No.
11246 of September 24, 1965, and by the rules, regulations, and orders of the Secretary
of Labor, or pursuant thereto, and will permit access to his books, records, and accounts by
the contracting agency and the Secretary of Labor for purposes of investigation to ascertain
compliance with such rules, regulations, and orders."
"(6) In the event of the contractor's noncompliance with the nondiscrimination clauses of
this contract or with any of such rules, regulations, or orders, in this contract may be
cancelled, terminated or suspended in whole or in part and the contractor may be declared
ineligible for further Government contracts in accordance with procedures authorized in
Executive Order No. 11246 of September 24, 1965, and such other sanctions may be
imposed and remedies invoked* as provided in Executive Order No 11246 of September
24, 1965, or by rule, regulations, or order of the Secretary of Labor, or as otherwise provided
by law."
"(7) The contractor will include the portion of the sentence immediately preceding paragraph
(1) and the provisions of paragraphs (1) through (7) in every subcontract or purchase
order unless exempted by rules, regulations, or orders of the Secretary of Labor issued
pursuant to Section 204 of Executive Order 11246 of September 24, 1965, so that such
provisions will be binding upon each subcontractor or vendor. The contractor will take such
action with respect to any subcontract or purchase order as the administering agency may
direct as a means of enforcing such provisions including sanctions for noncompliance:
Provided, however, that in the event a contractor becomes involved in, or is threatened
with, litigation with a subcontractor or vendor as a result of such direction by the
administering agency the contractor may request the United States to enter into such litigation
to protect the interests of the United States."
The applicant further agrees that it will be bound by the above equal opportunity clause with
respect to its own employment practices when it participates in federally assisted
construction work: Provided, that if the applicant so participating is a State or local
government, the above equal opportunity clause is not applicable to any agency,
instrumentality or subdivision of such government which does not participate in work on or
under the contract.
The applicant agrees that it will assist and cooperate actively with the administering
agency and the Secretary of Labor in obtaining the compliance of contractors and
subcontractors with the equal opportunity clause and the rules, regulations, and relevant
orders of the Secretary of Labor, that it will furnish the administering agency and the
Secretary of Labor such information as they may require for the supervision of such
compliance, and that it will otherwise assist the administering agency in the discharge of the
agency's primary responsibility for securing compliance.
The applicant further agrees that it will refrain from entering into any contract or contract
modification subject to Executive Order 11246 of September 24, 1965, with a contractor
debarred from, or who has not demonstrated eligibility for, Government contracts and
federally assisted construction contracts pursuant to the Executive Order and will carry out
such sanctions and penalties for violation of the equal opportunity clause as may be
imposed upon contractors and subcontractors by the administering agency or the Secretary
of Labor pursuant to Part II, Subpart D of the Executive Order. In addition, the applicant
agrees that if it fails or refuses to comply with these undertakings, the administering agency
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may take any or all of the following actions: Cancel, terminate, or suspend in whole or in
part this grant (contract, loan, insurance, guarantee); refrain from extending any further
assistance to the applicant under the program with respect to which the failure or refund
occurred until satisfactory assurance of future compliance has been received from such
applicant; and refer the case to the Department of Justice for appropriate legal proceedings.
* Corrected to read "invoked". In the original text the word "involved" was printed in error.
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MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN
The City of South Bend, Indiana has shown its commitment to addressing Minority and Women’s Business
Enterprise (“MWBE”) participation in public contracting through the adoption of the City of South Bend Ordinance
No. 10761-21. Persons, partnerships, corporations, associations, or joint ventures awarded a contract by the City
of South Bend through its agencies, boards, or commissions shall not discriminate against any employee or
applicant for employment in the performance of a City contract with respect to hire, tenure, terms, conditions, or
privileges of employment, or any matter directly or indirectly related to employment because of race, sex, religion,
color, national origin, ancestry, age or disability that does not affect that person’s ability to perform work.
Minority and Women’s Business Enterprises are described in the Ordinance. A list of MBEs and WBEs (both
certified and non-certified) can be found on the Indiana Department of Administration website:
http://www.in.gov/idoa/. Documentation shall be provided with the bid that states the MBEs and WBEs that will be
contracted, the dollar amount of the work that will be performed by the MBEs and WBEs on the project and the
percentage of the dollar amount as it relates to the total bid amount by using Form MBE-1.0, MBE Utilization Plan,
and Form WBE-1.0, WBE Utilization Plan.
The City, its agencies, boards, or commissions requires the Contractor’s good faith efforts to obtain participation by
those Contractors classified as MBEs and WBEs.
Failure to either meet the MBE and WBE goals or to provide evidence of good faith efforts for the bid will
be grounds for rejecting a bid as non-responsive.
Bidders shall demonstrate good faith efforts to have active participation from MWBEs on this Project and supply
written documentation evidencing such efforts by using Forms MBE-2.0, Evidence of Good Faith Efforts and WBE-
2.0, Evidence of Good Faith Efforts and Forms MBE-2.1, MBE Contacted and WBE-2.1, WBE Contacted. Such
documentation shall include, but is not limited to, the following items:
a. A listing of all M/WBEs contacted including: (1) the name and address of the M/WBE; (2) the date of
contact; (3) the type of contact (i.e., phone call, written solicitation, etc.); (4) the nature or type services or
goods requested; and (5) the result of the contact.
b. Written evidence of outreach and copies of email exchanges inviting and receiving bids, quotes or other
responses from M/WBEs or other documentation of efforts to encourage and secure competitive responses
from M/WBE and local businesses to be included in the benefits of building this Project.
c. Written documentation of letters of introduction, invitations to forging majority/minority strategic alliances
for capacity building, including but not limited to, mentoring, extensions of assistance on payroll, insurance,
bonding, line of credit, technical skills or business skills.
d. From time to time, projects will undergo a scope change prior to completion. This scope change will
inevitably impact the Contractor’s usage of MWBE’s and the originally submitted Utilization Plan. It is the
request of the City that when a project scope change occurs, the applicable Contractor shall utilize its best
efforts to contract with M and W Subcontractors in a proportional manner as required by the scope change.
All bidders are actively encouraged to reach out to the M/WBEs in St. Joseph County, Indiana, other Indiana
counties, and Berrien County, Michigan to utilize a good faith effort to forge constructive and lasting business
partnerships.
Notwithstanding the foregoing, the award and performance of all City contracts shall comply with applicable federal,
state, and local laws.
The City reserves the right to request verification of goal implementation throughout the course of the project.
If a goal exists, the winning respondent is contractually obligated to utilize the M/WBE’s firms in a manner consistent with
what was represented in its quote submission to the City. Deviations to the utilization plan must be requested in writing
and approved by the City. The City reserves the right to initiate a change order in the amount equal to the difference in
any subcontractor utilization if the utilization plan change is not approved.
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CITY OF SOUTH BEND’S GUIDELINES FOR GOOD FAITH EFFORTS
BY CONTRACTORS IN MEETING MWBE CONTRACT GOALS
Under the City of South Bend’s Minority and Women’s Business Enterprise (MWBE) Inclusion Program Plan (COSB
Inclusion Plan), the City of South Bend (the City) is authorized to set “contract specific” goals to increase MWBE
participation in City contracts and procurements.
MWBE participation goals are set based on availability of MWBE contractors within the City’s geographic market
area identified in the City’s Disparity Study.
For contractors bidding on a construction, services, supplies or equipment contract where goals have been set for
all or parts of the project, below is information relevant to “good faith efforts” to meet the contract goal.
When the City sets a contract goal, that means MWBE’s are in fact available to perform work on the contract.
Project bidders must try diligently to meet the goal. Failure to make a good faith effort may result in
rejection of your bid as non-responsive to the contract.
______________________________________________________________________________
Good faith efforts means actions undertaken by a contractor to achieve a contract goal which, by their scope,
intensity, and appropriateness to the objective, can be reasonably expected to fulfill the Program’s goals (City’s
Inclusion Plan, Section 4.B., No. 21).
___________________________________________________________________
A good faith effort is fully reviewable by the City. Where a contract goal is not met, contractors must provide
as much information as possible to help the City assess the contractor’s good faith efforts to achieve the
goal. Inadequate proof of good faith efforts may result in a finding that the contractor was non-responsive,
causing its bid to be rejected even if it is the lowest.
Good faith efforts require active, aggressive efforts by the prime contractor to obtain the contract MWBE
participation goal. Mere pro forma efforts are not good faith efforts. To satisfy the good faith efforts test:
• A prime contractor may not reject a MWBE’s bid solely because it is not the lowest bid received from
subcontractors. If the MWBE’s costs are reasonable and not excessive, the MWBE’s quote or bid
presumptively should be accepted on a contract requiring goals even if the MWBE’s bid is not the
lowest one received. However, if an MWBE’s bid or quote is unreasonable or excessive, the prime
contractor may reject the bid on that basis. The contractor has the burden of demonstrating the
excessiveness or unreasonableness of the MWBE’s bid or quote. Because the City must determine
whether a MWBE quote was unreasonable or excessive, Contractors must provide the City with
copies of each MWBE and non MWBE quote submitted to the bidder when a non-MWBE was
selected over an MWBE.
• A contractor may not reject a MWBE as being unqualified without sound reasons based on a thorough
investigation of the MWBE’s capabilities. If a prime contractor rejects a MWBE as unqualified, the
Contractor must provide the City with good reasons for this. The MWBE’s industry standing or
membership in a specific group, organization, political or social affiliation (example: union v. non-union)
is not a basis to reject the MWBE for lack of qualification.
• The ability or desire of a prime contractor to perform the work of the contract with its own organization
team does not relieve the prime contractor of the need to make good faith efforts to use MWBE sub
contractors to meet the contract goal.
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EXAMPLE: Total Project Estimate is $500,000. An MWBE goal of 10% is set for a specific part of the project, i.e.,
$50,000. Only one MWBE submits a quote to the prime contractor, and it is $50,000. A non MWBE submits a
quote of $45,000. Rejecting the MWBE bid may not meet the requirement of making a good faith effort to meet the
contract goal because: 1) the MWBE quote is within the goal percentage and dollar amount set for MWBE
participation on the project; 2) selection of the MWBE quote guarantees that the contractor meets the set goal and
that its bid will be deemed responsive; and 3) the difference between the MWBE and non MWBE quotes is not
significant in terms of the overall contract amount (i.e., 1% of total contract).
If the MWBE’s quote is $53,000 and the non-MWBE bid is $50,000, it may yet not be demonstrative of a good faith
effort to reject the MWBE solely because the MWBE’s quote is not the lowest. The excess is not greatly significant
to the total contract cost, and it could reasonably be expected to be made up elsewhere in the contract while
guaranteeing full goal compliance.
The above examples are illustrative only. The City will make a fair and reasonable judgment as to good faith efforts
based on all information and documentation provided by bidders and taking into account the Quality, Quantity, and
Intensity of the efforts made by a contractor to meet the contract goal.
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GOOD FAITH EFFORTS MATERIALS TO BE INCLUDED WITH BID
If a contractor’s bid does not meet the goal set for the contract, the contractor must submit evidence of good
faith efforts with its bid so the City can determine whether the contractor is a responsive bidder. If the contractor’s
bid meets the MWBE goal, evidence of good faith effort is not required, but it would be prudent to include some
evidence in case an error was made.The information required of a contractor who has not achieved the contract
goal to show good faith efforts can be found in the South Bend Inclusion Program Plan at Section 8.B.3.d. as follows:
(b) Where the bidder cannot achieve the contract goal, the bidder must provide proof of having made
good faith efforts to meet the goal. In making this determination of whether to issue a goal waiver, the City will
consider, at a minimum, the bidder’s efforts to:
(1) Solicit through all reasonable and available means (e.g., attendance at pre-bid meetings,
advertising and written notices) the interest of all MWBEs in the scopes of work of the contract.
The contractor shall provide interested MWBEs with timely, adequate information about the plans,
specifications, and requirements of the contract to allow such firms to respond to the solicitation.
The bidder must follow up initial solicitations with interested MWBEs.
(2) Select portions of the work to be performed by MWBEs in order to increase the likelihood that
the contract goal will be achieved. This includes, where appropriate, breaking out contract work
items into economically feasible units to facilitate participation, even when the bidder would
otherwise prefer to perform these work items with its own forces. It is the bidder’s responsibility to
make a portion of the work available to MWBEs and to select those portions of the work or
material needs consistent with the availability of such firms to facilitate their participation.
(3) Negotiate in good faith with interested MWBEs. Evidence of such negotiation includes the
names, addresses, and telephone numbers of firms that were contacted; a description of the
information provided regarding the plans and specifications for the work selected for
subcontracting; and why agreements could not be reached. The bidder may not reject MWBEs as
being unqualified without sound reasons based on a thorough investigation of their capabilities.
That there may be some additional costs involved in finding and using MWBEs is not in itself
sufficient reason for a bidder’s failure to meet the contract goal, as long as such costs are
reasonable. The ability or desire of a bidder to perform the work of a Contract with its own
organization does not relieve it of the responsibility to make good faith efforts on all scopes of
work within which subcontracting opportunities are available.
(4) Make efforts to assist interested MWBEs in obtaining bonding, lines of credit, or insurance as
required by the City or the bidder, where appropriate.
(5) Make efforts to assist interested MWBEs in obtaining necessary equipment, supplies,
materials, or related assistance or services, where appropriate.
Materials that should be submitted to support a contractor’s good faith efforts include:
• Copies of advertisements, notices, or solicitations from contractor to MWBE’s-- to include date and
time of issuance;
• A list of all locations where advertisements or notices to MWBE’s were placed or solicitations sent;
• Copies of communication between contractor and MWBE’s in response to contractor’s
advertisements, notices, or solicitations;
• Proof of contractor’s break-out of contract items into units feasible for performance by WMBE’s;
• Proof of communications between the contractor and MWBE regarding negotiations for
agreements, and why agreement could not be reached, as stated more specifically in above
Subsection (b) (3);
• Proof of bids or quotes from MWBE’s and those from non MWBE’s when non MWBE’s bid or quote
is used;
• Proof of efforts made by contractor to assist MWBE to participate in contract, where appropriate;
and
• Any other information tending to show that Contractor made active, aggressive efforts to meet the
MWBE participation goal but despite good faith efforts was unable to do so.
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CITY OF SOUTH BEND, INDIANA
CONTRACTOR’S BID FOR PUBLIC WORK
M/WBE CHECKLIST
Project Name PW Service Center Salt Dome Roof Replacement
Project No. R126-021
For Bids Due 9am EDT – June 9th, 2026 to bpwbids@southbendin.gov
Contractor Name:
The City seeks to promote equal opportunity for minority and women-owned businesses, including small local
businesses, and to encourage utilization of such businesses in City contracting and procurement.
THIS FORM MUST BE SUBMITTED WITH YOUR BID IF THE BID IS AT OR ABOVE $150,000.
**THIS FORM ONLY APPLIES TO QUOTES GREATER THAN $150,000. **
It is the sole responsibility of the potential bidder to comply with all submission requirements applicable to the bidder
in Section 14.5 of the City of South Bend, Indiana Code of Ordinances and the Minority and Women Business
Program Plan.
INSTRUCTIONS:
If you intend to comply with the stipulated MBE and WBE participation goals, complete Section I only.
If you are unwilling to affirm in writing your intent to comply with the stipulated MBE and WBE participation
goals and wish to propose adjusted goals, complete Section II and complete forms MBE-2.0, WBE-2.0, MBE-
2.1, and WBE-2.1.
I. M/WBE CHECKLIST FOR INTENT TO MEET STIPULATED MBE AND WBE PARTICIPATION
a) ___ By checking this box, I hereby acknowledge that the City reserves the right to
request supplemental information, additional verification of any information
provided by me.
b) ___ By checking this box, I hereby acknowledge that I will meet or exceed the stipulated
MBE and WBE participation goals of this contract.
c) ___ By checking this box, I agree to comply with all tracking and reporting, including
online tracking software for M/WBE participation.
d) ___ By checking this box, I understand that a failure to meet the contractual obligations
for M/WBE participation shall be a breach of contract. I understand that the City
shall impose a penalty against the Contractor in the amount of the difference
between the stipulated MBE and WBE goals and the actual amount paid to MBE
and WBE subcontractors.
Version 1/3/2025 Page - 16 Public Works Quote
II. M/WBE CHECKLIST FOR GOOD FAITH EFFORTS PARTICIPATION GOAL ADJUSTMENT
a) ___ By checking this box, I hereby acknowledge that the City reserves the right to request
supplemental information or additional verification of any information provided by me.
b) ___ By checking this box, I affirm I have made good faith efforts to seek opportunities to meet
the stipulated MBE and WBE participation goals. I affirm I have made reasonable efforts (e.g.,
attendance at pre-bid meetings, advertising, and written notices) to solicit M/WBEs in the scopes of
work of the contract.
i.___ I have completed the Evidence of Good Faith Efforts Forms [MBE-2.0 and
WBE-2.0] and M/WBE Contacted Forms [MBE-2.1 and WBE-2.1] and
submit these forms as part of my bid.
ii.___ Based on my Good Faith Efforts, I affirm that I will meet or exceed the following
adjusted utilization percentages as a commitment of this contract in lieu of the
stipulated goals:
______ % MBE ______% WBE
Adjusted goals should be somewhere between 0% and the stipulated goal percentage.
c) ___ By checking this box, I understand that a failure to meet the contractual obligations for M/WBE
participation shall be a breach of contract. I understand that the City shall impose a penalty
against the Contractor in the amount of the difference between the adjusted utilization percentages
and the actual amount paid to MBE and WBE subcontractors.
d) ___ By checking this box, I hereby acknowledge that the determination of whether a bidder has
made good faith efforts and should be granted a goal adjustment will be made by the M/WBE
Program Administrator, in consultation with the City's Legal Department and Department of
Public Works.
e) ___ By checking this box, I agree to comply with all tracking and reporting, including online tracking
software for M/WBE participation, even if a goal adjustment is granted.
Date: ___________________________________________
________________________________________________
(Sign Here)
________________________________________________
(Print Name Here)
________________________________________________
(Name of Company)
________________________________________________
(Address of Company)
________________________________________________
(City)
________________________________________________
(State)
________________________________________________
(Telephone Number)
CITY OF SOUTH BEND
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN
FORM MBE-2.0
EVIDENCE OF GOOD FAITH EFFORTS
Version 1/3/2025 Page - 21 Public Works Quote
If you are unwilling to affirm in writing your intent to comply with the stipulated MBE participation
goals and wish to propose adjusted goals, complete this form and Section II of the M/WBE Checklist.
Project Number:
PW Service Center Salt Dome Roof
Replacement Date:
Project Name: R126-021
Bidder:
Contact Person: Telephone:
Address:
City: State: Zip:
Email:
To determine whether a bidder has demonstrated good faith efforts to reach the MBE utilization goal set forth in
the City of South Bend Public Works Project Specifications, the City and its agencies, boards, or commissions,
REQUIRE ALL of the following Good Faith Efforts as listed in the table below*:
EVIDENCE OF GOOD FAITH EFFORTS
MBE LIST(S): The bidder reviewed 1) the City of South Bend’s Minority and Women Business Enterprise
Inclusion Program Plan; 2) the list of certified MWBEs provided by the City; and 3) the Indiana Department
of Administration list of Minority and Women Owned Businesses (both certified and non-certified) found
at: http://www.in.gov/idoa/.
GOOD FAITH EFFORTS TO OBTAIN MBE PARTICIPATION
The bidder shall initial each item below, as evidence of its good faith efforts to obtain MBE participation
in the awarded contract.
I affirm that I reviewed the City of South Bend’s Minority and Women Business Enterprise
Inclusion Program Plan and the Indiana Department of Administration’s certified list of
Indiana Minority and Women Business Enterprises, found on their website
(http://www.in.gov/idoa).
I affirm that I have made good faith efforts to select portions of the contract work to be
performed by MBEs, including, where appropriate, breaking out contract work items into
economically feasible units to facilitate MBE participation.
I affirm that I have made good faith efforts to solicit through all reasonable and available
means the interest of all MBEs in the scopes of work of the contract.
I affirm that I attended all pre-bid meetings scheduled by the City of South Bend to inform
MBEs of contracting and subcontracting opportunities.
I affirm that I advertised in general circulation and/or trade association publications
concerning subcontract opportunities and allowed MBEs reasonable time to respond to
such advertisements.
I affirm that I performed any and all necessary steps to provide written notices in a manner
reasonably calculated to inform MBEs of subcontracting opportunities and allowed
sufficient time for MWBEs to participate effectively.
I affirm that I followed up on initial solicitations with interested MBEs.
I affirm that I negotiated with interested MBEs in good faith, including providing such MBEs
with adequate information about the plans, specifications and other requirements of the
subcontract.
I affirm that I have made good faith efforts to assist interested MBEs in obtaining bonding,
lines of credit, or insurance as required by the City or the bidder, where appropriate.
CITY OF SOUTH BEND
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN
FORM MBE-2.0
EVIDENCE OF GOOD FAITH EFFORTS
Version 1/3/2025 Page - 22 Public Works Quote
I affirm that I have made good faith efforts to assist interested MBEs in obtaining necessary
equipment, supplies, materials, or related assistances or services, where appropriate.
I affirm that I did not reject any MBEs as unqualified without sound business reasons based
on a thorough investigation of their capabilities.
CONTRACT RECORDS: The bidder has maintained the following records for each MBE that has bid on
the subcontracting opportunity:
1. Name, address, and telephone number;
2. A description of information provided by the bidder or subcontractor; and
3. A statement of whether an agreement was reached, and if not, why not, including any reasons for
concluding that the MBE was unqualified to perform the job.
*Proper demonstration of Good Faith Efforts requires your initials next to all of the above boxes. Any
omissions shall be considered grounds for rejection of the bid by the Board of Public Works. The City of
South Bend reserves the right to request additional information.
CITY OF SOUTH BEND
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN
FORM WBE-2.0
EVIDENCE OF GOOD FAITH EFFORTS
Version 1/3/2025 Page - 23 Public Works Quote
If you are unwilling to affirm in writing your intent to comply with the stipulated WBE participation
goals and wish to propose adjusted goals, complete this form and Section II of the M/WBE Checklist.
Project Number:
PW Service Center Salt Dome Roof
Replacement Date:
Project Name: R126-021
Bidder:
Contact Person: Telephone:
Address:
City: State: Zip:
Email:
To determine whether a bidder has demonstrated good faith efforts to reach the WBE utilization goals set forth in
the City of South Bend Public Works Project Specifications, the City and its agencies, boards, or commissions,
REQUIRE ALL of the following Good Faith Efforts as listed in the table below*:
EVIDENCE OF GOOD FAITH EFFORTS
WBE LIST(S): The bidder reviewed 1) the City of South Bend’s Minority and Women Business Enterprise
Inclusion Program Plan; 2) the list of certified MWBEs provided by the City; and 3) the Indiana Department
of Administration list of Minority and Women Owned Businesses (both certified and non-certified) found
at: http://www.in.gov/idoa/.
GOOD FAITH EFFORTS TO OBTAIN WBE PARTICIPATION
The bidder shall initial each item below, as evidence of its good faith efforts to obtain WBE participation
in the awarded contract.
I affirm that I reviewed the City of South Bend’s Minority and Women Business Enterprise
Inclusion Program Plan and the Indiana Department of Administration’s certified list of
Indiana Minority and Women Business Enterprises, found on their website
(http://www.in.gov/idoa).
I affirm that I have made good faith efforts to select portions of the contract work to be
performed by WBEs, including, where appropriate, breaking out contract work items into
economically feasible units to facilitate MWBE participation.
I affirm that I have made good faith efforts to solicit through all reasonable and available
means the interest of all WBEs in the scopes of work of the contract.
I affirm that I attended all pre-bid meetings scheduled by the City of South Bend to inform
WBEs of contracting and subcontracting opportunities.
I affirm that I advertised in general circulation and/or trade association publications
concerning subcontract opportunities and allowed WBEs reasonable time to respond to
such advertisements.
I affirm that I performed any and all necessary steps to provide written notices in a manner
reasonably calculated to inform WBEs of subcontracting opportunities and allowed
sufficient time for WBEs to participate effectively.
I affirm that I followed up on initial solicitations with interested WBEs.
I affirm that I negotiated with interested WBEs in good faith, including providing such WBEs
with adequate information about the plans, specifications and other requirements of the
subcontract.
CITY OF SOUTH BEND
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN
FORM WBE-2.0
EVIDENCE OF GOOD FAITH EFFORTS
Version 1/3/2025 Page - 24 Public Works Quote
I affirm that I have made good faith efforts to assist interested WBEs in obtaining bonding,
lines of credit, or insurance as required by the City or the bidder, where appropriate.
I affirm that I have made good faith efforts to assist interested WBEs in obtaining
necessary equipment, supplies, materials, or related assistances or services, where
appropriate.
I affirm that I did not reject any WBEs as unqualified without sound business reasons
based on a thorough investigation of their capabilities.
CONTRACT RECORDS: The bidder has maintained the following records for each WBE that has bid on
the subcontracting opportunity:
1. Name, address, and telephone number;
2. A description of information provided by the bidder or subcontractor; and
3. A statement of whether an agreement was reached, and if not, why not, including any reasons for
concluding that the WBE was unqualified to perform the job.
*Proper demonstration of Good Faith Efforts requires your initials next to all of the above boxes. Any
omissions shall be considered grounds for rejection of the bid by the Board of Public Works. The City of
South Bend reserves the right to request additional information.
CITY OF SOUTH BEND
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN
FORM MBE-2.1
MBE CONTACTED
Version 1/3/2025 Page - 25 Public Works Quote
This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects
requiring Good Faith Efforts to contact MBEs. It is the bidder’s sole responsibility to verify whether any listed
minority or woman business meets the MBE qualifications. Attach additional pages if necessary.
PAGE_______OF________
Project Number:
PW Service Center Salt Dome
Roof Replacement MBE Participation Goal
Project Name: R126-021
Bidder:
By:
(Signature) (Title) (Date)
MBE Firm
Owner or Contact at MBE Firm
Telephone: Fax: Email:
TYPE OF WORK SOLICITED FOR THIS PROJECT:
RESULTS OF CONTACT WITH THE MBE FIRM:
MBE Firm
Owner or Contact at MBE Firm
Telephone: Fax: Email:
TYPE OF WORK SOLICITED FOR THIS PROJECT:
RESULTS OF CONTACT WITH THE MBE FIRM:
CITY OF SOUTH BEND
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN
FORM WBE-2.1
WBE CONTACTED
Version 1/3/2025 Page - 26 Public Works Quote
This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects
requiring Good Faith Efforts to contact WBEs. It is the bidder’s sole responsibility to verify whether any listed
minority or woman business meets the WBE qualifications. Attach additional pages if necessary.
PAGE_______OF________
Project Number:
PW Service Center Salt Dome
Roof Replacement WBE Participation Goal
Project Name: R126-021
Bidder:
By:
(Signature) (Title) (Date)
WBE Firm
Owner or Contact at WBE Firm
Telephone: Fax: Email:
TYPE OF WORK SOLICITED FOR THIS PROJECT:
RESULTS OF CONTACT WITH THE WBE FIRM:
WBE Firm
Owner or Contact at WBE Firm
Telephone: Fax: Email:
TYPE OF WORK SOLICITED FOR THIS PROJECT:
RESULTS OF CONTACT WITH THE WBE FIRM:
1
Date: June 5, 2026
To: All Planholders
From Lidya Abreha, Project Engineer
Subject Addendum Number: 2
Project Name: PW Service Center Salt Dome Roof Replacement
Project No.: R126-021
ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM
Date Received:
This addendum is being forwarded to you for the above referenced project.
Please sign below and acknowledge receipt of this Addendum by
faxing this sheet to the Board of Public Works at (574) 235-9171
within 48 hours of receipt. A copy MUST also be included with your
bid package upon submittal.
THIS ADDENDUM MAY AFFECT YOUR BID.
Notes:
The attached documents are hereby added to the Specifications and Contract
Documents and become a part of herein.
Company:
Authorized Signature:
Date:
CITY OF SOUTH BEND JAMES MUELLER, MAYOR
BOARD OF PUBLIC WORKS
215 S. DR. MARTIN LUTHER
KING JR., BLVD, SUITE 400
SOUTH BEND, INDIANA 46601
PHONE 574/ 235-9251
FAX 574/ 235-9171
TDD 574/ 235-5567
2
PW Service Center Salt Dome Replacement
R126-021
Addendum No. 2
Date: June 5, 2026
To: All Planholders
From: Lidya Abreha, Project Engineer
You must acknowledge a receipt of this addendum by signing the first page and returning a copy
with your bid.
The items in this addendum are to become part of the original documents as if included therein. Only the
noted items are affected, and the remainder of the original contract document is to remain in its entirety.
This Addendum modifies the Contract Documents as follows:
PART 1 – CONTRACTOR QUESTIONS
1.01 Question 1. What specific performance rating do you require for architectural shingles?
Class 3 impact rating and 130 MPH wind rating.
1.02 Question 2. How should we account for deteriorated or damaged decking in the quoting
process?
Please see updated quote proposal form attached to this addendum.
PART 2 – SPECIAL PROVISIONS
2.01 Section IX. PROSECUTION AND PROGRESS
1. REVISE B.1. The project will have a completion date of 60 calendar days. The contract
time will start when the Notice to Proceed is delivered and signed.
PART 3 – CONTRACTOR’S BID FOR PUBLIC WORKS
3.01 Revise Base Quote Pay Items (Revised Quote Proposal Page attached)
Item
No. Description Quantity Unit Unit Price Total Amount
1
Salt Dome Roofing Removal and
Replacement as stated in the
specifications
1 LS $ $
2 Replacement of deteriorated roof
decking with 1/2” OSB 330 Sheet $ $
Total Amount of Quote $
**This addendum consists of a total of 3 pages**
Version 5/20/2024
CITY OF SOUTH BEND, INDIANA
CONTRACTOR’S BID FOR PUBLIC WORK
RESPONSIBLE BIDDER CHECKLIST
Project Name
Project No.
For Bids Due
Contractor Name:
The City seeks to enhance its ability to identify responsive and responsible bidders on all City public works
projects by institution of comprehensive submission requirements in compliance with State law. Quality
workmanship, efficient operation, safety, and timely completion of projects requires that all bidders meet
certain minimum requirements to be responsive and responsible bidders.
THIS FORM MUST BE SUBMITTED WITH YOUR BID.
**THIS FORM ONLY APPLIES TO BIDS GREATER THAN $250,000. **
INSTRUCTIONS:
If you are a pre-qualified bidder, complete Section I only.
If you are not a pre-qualified bidder, complete Section II only.
Section II acts as an application for pre-qualification. Submission of Section II will allow the bidder to be
considered for pre-qualification for bids with the City of South Bend Department of Public Works. Pre-
qualified bidders will then be exempt from a portion of the submission requirements outlined in Section 6-
71 of The Responsible Bidding Ordinance No. 10975-23 (hereinafter, “Responsible Bidding Ordinance”)
for a period of twelve (12) months.
Thereafter, contractors who are pre-qualified must submit a complete application for continuation of “pre-
qualified” standing, on a form provided by the City (“Responsible Bidder Checklist (1) Pre-Qualified
Bidders”) within twelve (12) months of obtaining pre-qualified standing. If the status of any item changes
within the twelve (12) months, it is the responsibility of the contractor to notify the City. Failure by any pre-
qualified contractor to submit its complete application for continuation of “pre-qualified” standing within the
time prescribed above shall result in automatic removal of the designation, effective immediately following
the twelve (12) months of pre-qualified standing.
However, the “removed” contractor or subcontractor shall still be permitted to bid on City public works
projects, though the contractor must submit all required documents under 6-71 until “pre-qualified” status
is re-established.
Please Note: The City reserves the right to request supplemental information from the bidder,
additional verification of any information provided by the bidder, and may also conduct random
inquiries of the bidder’s current and previous customers regardless of pre-qualified standing.
It is the sole responsibility of the potential bidder to comply with all submission requirements applicable to
the bidder in Section 6-71 of the Responsible Bidding Ordinance no later than the date of the public bid
opening.
PW Service Center Salt Dome Roof Replacement
June 9th, 2026
R126-021
Version 5/20/2024
POST BID SUBMISSIONS:
Post-bid submissions must be submitted in accordance with Section 6-72 of the Responsible Bidding
Ordinance. The post-bid submission requirements are as follows:
1.All bidders shall collect, maintain, and provide upon request, a current written list that discloses the
name, address, licensing status, and type of work for any subcontractor from whom the bidder has
accepted a bid and/or intends to hire on any part of the public work project, including individuals
performing work as independent contractors.
2.Each subcontractor, whose portion of the project is estimated to be at least two-hundred fifty
thousand dollars ($250,000.00), shall be required to adhere to the requirements of Section I of the
Responsible Bidder Ordinance as though it were bidding directly to the City, except that the
subcontractor shall submit the required information (including the name, address, and type of work)
to the successful bidder prior to the commencement of work.
3.Failure of a subcontractor to submit the required information shall not disqualify the successful
bidder from performing work on the project and shall not constitute a contractual default and/or
breach by the successful bidder. However, the City may withhold all payment otherwise due for
work performed by a subcontractor, until the subcontractor submits the required information and
the City approves such information.
4.The disclosure of a subcontractor list (“Disclosed Subcontractor(s)”) to the City by a bidder shall
not create any rights in the Disclosed Subcontractor(s). Thus, a bidder may substitute another
subcontractor for a Disclosed Subcontractor by giving the City, upon request, written notice of the
name, address, licensing status, and type of work of the substitute subcontractor.
5.The successful bidder for projects greater than $250,000 and all subcontractors performing work
greater than $250,000 on a public works project are required to submit certified payroll utilizing the
federal form known as WH-347 or a similar form on a bi-weekly basis, submitted within 10 days
after the end of each bi-weekly payroll period. Certified payrolls shall identify the job title and craft
for each employee. Certified payrolls shall be submitted electronically.
Please Note: Submissions deemed inadequate, incomplete, or untimely by the City may result in
the automatic disqualification of the bid.
The City, after review of complete and timely submissions, shall, in its sole discretion, after taking into
account all information in the submission requirements, determine whether a bidder is responsive and
responsible, and provide a Pre-Qualification Verification Letter. The City specifically reserves the right to
utilize all information provided in the contractor’s submission and any information obtained by the City
through its own independent verification of the information provided by the contractor.
Version 5/20/2024
I.PRE-QUALIFIED BIDDER CHECKLIST
(a)Acknowledgements:
(i)___By checking this box, I hereby acknowledge that I am a pre-qualified bidder with
the City of South Bend and that I have met the pre-qualification requirements within
the last twelve (12) months. A copy of my Pre-Qualification verification letter
is attached.
(ii)___By checking this box, I hereby acknowledge that the City reserves the right to
request supplemental information, additional verification of any information
provided by me, and may also conduct random inquiries of my current and prior
customers.
(iii)___By checking this box, I hereby acknowledge that apprenticeship and training
programs that I participate in have graduated at least five (5) apprentices in each
of the past five (5) years.
(iv)___By checking this box, I hereby acknowledge that all subcontractors performing
work greater than $250,000 also meet the qualifications of the Responsible Bidder
Ordinance.
(b)Attachments:
(i)___Indiana Secretary of State’s on-line records (ie. Business verification) dated within
sixty (60) days of the submission of said document showing that business is in
existence, current with the Indiana Secretary of State’s Business Entity Report,
and eligible for a certificate of good standing. (Not applicable to individuals, sole
proprietors or partnerships).
(ii)___Statement on staffing capabilities, including labor sources. This statement
indicates and ensures I have sufficient employees on staff to complete the work. It
outlines how I intend to meet the staffing needs of the work.
(iii)___List of projects of similar size and scope of work performed in all areas, including
the State of Indiana, within the last three (3) years.
(iv)___For every project, submit evidence of participation in apprenticeship and training
programs, applicable to the work to be performed on the project, which are
approved by and registered with the United States Department of Labor’s Office of
Apprenticeship, or its successor organization. This includes, but may not be limited
to, letters from apprenticeship coordinators detailing the bidder’s association with
the program, and the United States Department of Labor Office of Apprenticeship
Certificates of Registration of Apprenticeship Programs for each type of work to be
performed on the project.
Version 5/20/2024
II.PRE-QUALIFICATION CHECKLIST (FOR BIDDERS THAT ARE NOT PRE-QUALIFIED)
(a)Acknowledgements:
(i)___By checking this box, I hereby acknowledge that I am not a pre-qualified bidder
with the City of South Bend.
(ii)___By checking this box, I hereby acknowledge that the City reserves the right to
request supplemental information, additional verification of any information
provided, and may also conduct random inquiries of my current and prior
customers. The City reserved the right to utilize all information provided in this
submission and all information obtained in inquiries or requests to determine if a
bidder is responsive and responsible. Additionally, I acknowledge that all
information provided to the City shall be regarded as public records.
(iii)___By checking this box, I hereby acknowledge that copies of all Applicable
apprenticeship certificates or standards for training programs applicable to the
work performed on the project may be requested at any time and shall be furnished
upon request.
(iv)___By checking this box, I hereby acknowledge and ensure that I and all sub-
contractors, from whom I have accepted a bid and/or intend to hire to perform work
on the public work project, are properly licensed. Furthermore, I acknowledge my
understanding that it is my responsibility to ensure that all sub-contractors have
the necessary licenses to undertake the work called for in this bid. If a sub-
contractor loses their license at any point, it is the responsibility of that sub-
contractor to notify the City.
(v)___By checking this box, I hereby acknowledge that apprenticeship and training
programs that I participate in have graduated at least five (5) apprentices in each
of the past five (5) years.
(vi)___By checking this box, I hereby acknowledge that all subcontractors performing
work greater than $250,000 also meet the qualifications of the Responsible Bidder
Ordinance.
(b)Attachments:
(i)___Indiana Secretary of State’s on-line records (ie. Business verification) dated within
sixty (60) days of the submission of said document showing that business is in
existence, current with the Indiana Secretary of State’s Business Entity Report,
and eligible for a certificate of good standing. (Not applicable to individuals, sole
proprietors or partnerships).
(ii)___List identifying all former business names.
(iii)___Any determinations by a court or governmental agency any violations of federal
state, or local laws including, but not limited to, violations of contracting or antitrust
laws, tax or licensing laws, environmental laws, Occupational Safety and Health
Act (OSHA), or federal Davis-Bacon and related Acts, within the preceding five (5)
years.
(iv)___Statement about staffing capabilities, including labor sources. This statement
indicates and ensures I have sufficient employees on staff to complete the work I
am bidding on OR outlines how I intend to meet the staffing needs of the work.
(v)___Statement that individuals who will perform work on the public work project on my
behalf will be properly classified as an employee or as an independent contractor
under all applicable state and federal laws and local ordinances.
(v)___For every project, submit evidence of participation in apprenticeship and training
programs, applicable to the work to be performed on the project, which are
approved by and registered with the United States Department of Labor’s Office of
Apprenticeship, or its successor organization. This includes, but may not be limited
to, letters from apprenticeship coordinators detailing the bidder’s association with
Version 5/20/2024
the program, and the United States Department of Labor Office of Apprenticeship
Certificates of Registration of Apprenticeship Programs for each type of work to be
performed on the project.
(vi)___Copy of a written plan for employee drug testing that covers all of my employees
who will perform work on the public work project and meets or exceeds the
requirements set forth in IC 4-13-18-5 or IC 4-13-18-6.
(vii)___Evidence that I am utilizing a surety company which is on the Bureau of Fiscal
Service “Department of Treasury’s Listing of Approved Sureties” as required in the
bid specifications or contract.
(viii)___Written statement of any federal, state or local tax liens or tax delinquencies owed
to any federal, state or local taxing body in the preceding three years.
(ix)___List of projects of similar size and scope of work performed in all areas, including
the State of Indiana, within three (3) years prior to the date on which the bid is due.
Date: ___________________________________________
________________________________________________
(Sign Here)
________________________________________________
(Print Name Here)
________________________________________________
(Name of Company)
________________________________________________
(Address of Company)
________________________________________________
(City)
________________________________________________
(State)
________________________________________________
(Telephone Number)
Type 2 Job#Project Name Location Owner Architect/Engineer General Contractor Contract Amount Completion Date
Public Works - IN 3228 Martin Luther King Jr. Dream Center South Bend, IN City of South Bend Meticulous Design & ArchitectureC.H. Garmong & Son, Inc.980,000.00$ 3/1/2025
Higher Education 3190 Research II (McCourtney Hall II)Notre Dame, IN University of Notre Dame BSA Lifestructures Shiel Sexton Company, Inc.3,800,000.00$ 1/1/2025
Higher Education 3238 Rockne Memorial Re-Roof Notre Dame, IN University of Notre Dame ConSpecT Services N/A 980,000.00$ 11/1/2024
Indistrial / Utilities 3248 NIPSCO South Bend South Bend, IN NISource Coprate Services Company ConSpecT Services N/A 360,000.00$ 4/1/2025
Higher Education 3249 IBEW #153 Pavilion South Bend, IN IBEW Local# 153 Ziolkowski Construction, Inc.Ziolkowski Construction, Inc.200,000.00$ 3/1/2025
Church 3249 St. Adalberts Church Re-Roof South Bend, IN St. Adalbert's Parish KIL Architecture N/A 1,150,000.00$ 4/1/2025
Commercial 3227 SB Airport Passenger Bridge South Bend, IN St. Joseph County Airport Authority Mead & Hunt Gibson-Lewis, LLC 40,000.00$ 9/1/2024
Public Works - MI 3224 New Buffalo Elementary Kitchen Addition New Buffalo, MI New Buffalo Area Schools Tower Pinkster Skillman Corporation 100,000.00$ 9/1/2024
Public Works - IN 3188 Cromwell, IN WTP Improvements Cromwell, IN Towm of Cromwell DLZ Kirk Bros. Co. Inc.140,000.00$ 6/1/2025
Addendum A
Type 1 Type 2 Job#Project Name Location Owner Architect/Engineer General Contractor Contract Amount Completion Date
Public Public Works - IN 3254 Westville Prison S4 Building Westville, IN IDOA - Public Works Division Elevatus Architecture Build Westville Collaborative 460,000.00$ Est Sept 2025
Job History
Type 2 Job#Project Name Location Owner Architect/Engineer General Contractor Contract Amount Completion Date
Public Works - IN 3228 Martin Luther King Jr. Dream Center South Bend, IN City of South Bend Meticulous Design & ArchitectureC.H. Garmong & Son, Inc.980,000.00$ 3/1/2025
Higher Education 3190 Research II (McCourtney Hall II)Notre Dame, IN University of Notre Dame BSA Lifestructures Shiel Sexton Company, Inc.3,800,000.00$ 1/1/2025
Higher Education 3238 Rockne Memorial Re-Roof Notre Dame, IN University of Notre Dame ConSpecT Services N/A 980,000.00$ 11/1/2024
Indistrial / Utilities 3248 NIPSCO South Bend South Bend, IN NISource Coprate Services Company ConSpecT Services N/A 360,000.00$ 4/1/2025
Higher Education 3249 IBEW #153 Pavilion South Bend, IN IBEW Local# 153 Ziolkowski Construction, Inc.Ziolkowski Construction, Inc.200,000.00$ 3/1/2025
Church 3249 St. Adalberts Church Re-Roof South Bend, IN St. Adalbert's Parish KIL Architecture N/A 1,150,000.00$ 4/1/2025
Commercial 3227 SB Airport Passenger Bridge South Bend, IN St. Joseph County Airport Authority Mead & Hunt Gibson-Lewis, LLC 40,000.00$ 9/1/2024
Public Works - MI 3224 New Buffalo Elementary Kitchen Addition New Buffalo, MI New Buffalo Area Schools Tower Pinkster Skillman Corporation 100,000.00$ 9/1/2024
Public Works - IN 3188 Cromwell, IN WTP Improvements Cromwell, IN Towm of Cromwell DLZ Kirk Bros. Co. Inc.140,000.00$ 6/1/2025
Addendum A
Ongoing Public Work Projects
Addendum A
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DEPARTMENT OF ADMINISTRATION
Division of Supplier Diversity
Indiana Government Center South
402 West Washington Street, Room W462
Indianapolis, IN 46204
(317) 232 - 3061
STATE OF INDIANA
Mike Braun, Governor
April 21, 2025
Ms. Catherine Dudeck
Dudeck Roofing & Sheet Metal, Inc.
1634 Franklin Street
South Bend, IN 46613
Subject: Application for WBE Certification
Dear Ms. Dudeck,
Congratulations! The Indiana Department of Administration, Division of Supplier Diversity is pleased to
inform you that Dudeck Roofing & Sheet Metal, Inc. is hereby certified as a Women's Business Enterprise
(WBE).
Your company provides a commercially useful function in the areas listed below. Only work performed in
these areas will be counted towards Women's Business Enterprise participation:
UNSPSC CODE(S)
Code Description
72101600 Roofing and siding and sheet metal work
On September 13, 2010, the Governor’s Commission on Supplier Diversity approved the department’s
effort to streamline its recertification process. Instead of conducting an onsite visit to each company seeking
recertification, the department now has the discretion to waive the visit after a thorough review of the
company’s file and recertification documents. We have approved your recertification and it is valid through
April 30, 2028. Please note that IDOA continues to reserve the right to conduct a site visit or phone
interview at any time with certified companies.
Although your certification is valid for three years, you are required to submit an annual Affidavit of
Continued Eligibility (ACE) form year. Instructions on how to receive and complete this form can be
located at https://www.in.gov/idoa/mwbe/minority-and-womens-business-enterprises/certify-your-
business/. Please remember that you must notify us immediately if any changes occur. Failure to notify us
of changes or to provide an ACE form annually will result in the revocation of your certification. Changes
include, but are not limited to, changes in location, contact information, ownership, and control.
We encourage you to visit IDOA’s procurement website, www.in.gov/idoa/2464.htm, and update your
Business Registration Profile. You must review and update your profile regularly, because state purchasing
agents and prime contractors may use this information to contact you for business opportunities.
Referencing: Dudeck Roofing & Sheet Metal, Inc.
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While this letter serves as notification of certification, it does not serve to prove continued eligibility. Please
visit https://www.in.gov/idoa/mwbe/2743.htm to verify your certification status. Please contact our office
at (317) 232-3061 or mwbe@idoa.in.gov if you have any other questions or concerns about your letter.
Sincerely,
Peter Sobun, Director of Certification
Indiana Department of Administration
Division of Supplier Diversity
PS/aw